Provider Demographics
NPI:1841381746
Name:FIGGS, LEO (DO)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:
Last Name:FIGGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 LAKESIDE CT STE 103
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-7305
Mailing Address - Country:US
Mailing Address - Phone:509-453-2010
Mailing Address - Fax:509-225-6420
Practice Address - Street 1:1410 LAKESIDE CT STE 103
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-7305
Practice Address - Country:US
Practice Address - Phone:509-453-2010
Practice Address - Fax:509-225-6420
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00000819207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1498203Medicaid
WAE20247Medicare UPIN
WA1498203Medicaid